Corby J Petersen, LCSW
NPI #1225089840 in Eagle River, Alaska
Provider Information
- NPI Number
- 1225089840
- Entity Type
- Individual
- Name
- Corby J Petersen, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- May 16, 2006
- Last Updated
- Feb 9, 2010
Practice Location
- Address
- 13135 OLD GLENN HWY
- City
- Eagle River
- State
- Alaska
- ZIP Code
- 99577-7562
- Phone
- (907) 632-3403
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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